Active NPI
Maritza Moreno, RD, LDN, CDCES, CPT
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1669927802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.006366
- Practice address
- 980 N Michigan Ave Ste 1090
Chicago, IL 60611-4521 - Phone
- (773) 322-5983
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.006366 | IL | Primary |
Addresses
Primary practice location
980 N Michigan Ave Ste 1090
Chicago, IL 60611-4521
Mailing address
980 N Michigan Ave Ste 1090
Chicago, IL 60611-4521
Phone (773) 322-5983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006366 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimized Life Project Academy, PC | Dietitian, Registered | Current | Accepting new patients |
| Strategic Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
980 N Michigan Ave
Ste 1090
Chicago, IL 60611
Phone (773) 322-5983
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Schaumburg, IL
- NPI 1689527335
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1669927802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N MICHIGAN AVE STE 1090",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114521",
"telephone_number": "773-322-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N MICHIGAN AVE STE 1090",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114521",
"telephone_number": "773-322-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "MARITZA",
"credential": "RD, LDN, CDCES, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.006366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.